Operative gynecology : . the gland to the vagina \tSrn. - . * Fig. 131.—Relation of Bartholins Glands to the Vagina.(Redrawn after Huguier.) Both glands show inflammatory enlargement, and from theduct on each side a drop of pus is escaping. The glands arefound in the lateral walls, a short distance above the fourchette(see T. S. Cullen, Cvsts of Bartholins Glands, Jour. Assoc, Jan. 21, 1905). is clearly outlined; the gland has, however, been pushed away to the side bythe cyst developing in the duct. The glands in this particular case are rather larger than usual. Under normal conditi
Operative gynecology : . the gland to the vagina \tSrn. - . * Fig. 131.—Relation of Bartholins Glands to the Vagina.(Redrawn after Huguier.) Both glands show inflammatory enlargement, and from theduct on each side a drop of pus is escaping. The glands arefound in the lateral walls, a short distance above the fourchette(see T. S. Cullen, Cvsts of Bartholins Glands, Jour. Assoc, Jan. 21, 1905). is clearly outlined; the gland has, however, been pushed away to the side bythe cyst developing in the duct. The glands in this particular case are rather larger than usual. Under normal conditions the gland secretes a small amount of whitish,slightly tenacious fluid, closely resembling the white of an egg. The gland 17 248 DISEASES OF THE EXTERNAL GENITALS. function, according to Miiller, is complete at the fifth or sixth month of intra-uterine life. The eland itself diminishes in size from the ninth to the twelfth. Fig. 132.—Deep Relations of Bartholins Glands to the Vagina. (Redrawn after Huguier.) In this case the duct to the right of the vagina has become considerably occluded and is cystic,forcing the gland, which is considerably enlarged, farther out than usual. On the left of the vaginathe duct is markedly cystic. Ordinarily the glands lie in the adipose tissue just external to the vagina,partially covered by the muscle shown in the drawing (see T. S. Cullen, tit supra). year, it rapidly increases again between the sixteenth and eighteenth years,and in old age it undergoes atrophy. Histologic Appearances.—On carefully dissecting out the gland andexamining it with a low power, it is found that the duct, after leaving thevagina, gradually decreases in diameter in the vicinity of the gland. It thendivides into secondary ducts, and these in turn divide, forming terminal ducts,which drain the secretion from the lobules. The entire gland may be likenedto a bunch of grapes, more developed on
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